NPI age
20 years
Enumerated 2005-12-08
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | GP2489 | |
| 01 (SC) | 576007863190 | BCBS OF SC |
| 01 (SC) | P00378890 | RR MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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